Information Collection

Pilot Survey Introduction to Cancer Research Careers (ICRC) (NCI)

IC 232748 under ICR 201605-0925-007 · OMB 0925-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0046 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Pilot Survey Introduction to Cancer Research Careers (ICRC) (NCI)	Form and Instruction
1 ICRC Application Att1-ICRC_Application.pdf	Form and Instruction
2 ICRC Pilot Survey Att2-ICRC Pilot Survey.pdf	Form
3 ICRC Reference Module Att3-ICRC Reference_Module.pdf	Form
Att4-ICRC Automated Emails.pdf Automated emails	IC Document
miniSSA-ICRC_Revised_8-20-2018.docx Mini SSA	IC Document

IC Title:

Pilot Survey Introduction to Cancer Research Careers (ICRC) (NCI)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	ICRC Application	Att1-ICRC_Application.pdf	Yes	Yes	Fillable Fileable
Form	2	ICRC Pilot Survey	Att2-ICRC Pilot Survey.pdf	Yes	Yes	Fillable Fileable
Form	3	ICRC Reference Module	Att3-ICRC Reference_Module.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Clinical Research; Student Records, HHS/PHS/NIH/OD/OE

FR Citation: 67 FR 60742

Number of Respondents: 360

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	480	480
Annual IC Time Burden (Hours)	246	246
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Automated emails	Att4-ICRC Automated Emails.pdf	08/22/2018
Mini SSA	miniSSA-ICRC_Revised_8-20-2018.docx	08/22/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.